Individual
BETTIE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 324-6127
(203) 348-9378
Mailing address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 324-6127
(203) 348-9378
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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